Organization
ELITE MEDICAL,PC
Active
Other names
silverberg and nierman,md,pc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY L SCHNEIDER M.D. (VICE PRESIDENT)
(631) 265-0146
Entity
Organization
Contact information
Practice address
373 ROUTE 111, SUITE 14, SMITHTOWN, NY 11787-4759
(631) 265-0146
(631) 265-0204
Mailing address
373 ROUTE 111, SUITE 14, SMITHTOWN, NY 11787-4759
(631) 265-0146
(631) 265-0204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00658957
—
NY
01
—
CB1079
RR MEDICARE
NY
Enumeration date
11/14/2006
Last updated
09/02/2008
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